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INHERITANCE TAX ~ Pennsylvania
RECORD ADJUSTMENT DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAx DIVISION REV-1593 EX AFP (12 -12)
PD BOX 280601 RL1
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DATE OL-03-2013
ESTATE OF VAGNERINI BARBARA A
1 p'~~ pp
113 Jfl~ 18 I7~~ 1. ~-DATE OF DEATH 06-27-2010
FILE NUMBER 21 10-1008
CLERK G` COUNTY CUMBERLAND
ORPfiANS' Giu:'" AcN lol
SUSAN H CONFAIR CUMBERLAND ^~'~. Amount Remitted
2331 MARKET ST
CAMP HILL PA 17011-4642
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this Form with your Yax payment.
CUT ALONG THIS LINE==_____~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1593 EX AFP (12-12J ^~ INHERITANCE TAX RECORD ADJUSTMENT *~
ESTATE OF:VAGNERINI BARBARA A FILE N0.:21 10-1008 pCH; 101 DATE: 01-03-2013
ADJUSTMENT BASED DN: PROTEST BOARD DECISION
VALUE OF ESTATE:
1. Real Estate (Schedule A) II) 70,000.00
2. Stocks and Bonds (Schedule B) (2) .00
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .DD
4. Mortgages/Notes Receivable (Schedule D) C4) .00
5, Cash/Bank Deposits/Misc. Personal Property (Schedule E) C57 25,702.36
6. Jointly Owned Property CSchedule F) I6) 634.79
7. Transfers (Schedule G) C7) 98.988.54
8. Total Assets IB) 195,325.69
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H7 (9) 17,164.02
10, Debts/MOrY9age Liabilities/LSens (Schedule I) 110) 111,480.37
11. Total Deductions fll) 128,644.39
12, Net Value of Tax Return I12) 66,681.30
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) ,QQ
14. Net Value of Estate Subiect to Tax C14) 66,681.30
TAX:
15. Amount of Lina 14 at Spousal rate
16. Ampunt of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Co118taral/Class B rate
19. Principal Tax Dua
TAX CREDITS:
n5) .00X ,00 = .00
I16) .00 y . 045= .00
C17) .OOy .12 = .00
L18) 84,423.45 y .15 = 12,663.52
n97 12,663.52
DATE NUMBER INTEREST/PEN PAID (-)
03-25-2011 CD014184 .00
AMOUNT PAID
6,000.00
INTEREST IS CHARGED THROUGH 01-18-2013x TOTAL TAX PAYMENT 6,000.00
AT THE RATES APPLICABLE AS OUTLINED ON THE ALANCE OF TAX DUE 6,663.52
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 362.27
TOTAL DUE 7,025 9
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL OUE IS REFLECTED AS A ~~CREDIT" (CR), YOU MAY BE D
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THLS FORM FOR INSTRUCTIONS.)
REKt O4 FJ( (01-10)
~ pennsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OFINOIVIDUALTAXES OF CHANGES
PO Box 280601
DECEDENTS NAME FILE NUMBER
Barbara A. Vagnerini 2110-1008
REVIEWED BY
Joan M. Peters AcN 101
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The above referenced Account Control Number has b
have been made to Line 18, per the Board of Appeals.
to
that changes
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